Hanna, Suzan
Hanna, Suzan is an individual health care provider with primary practice located at 1303 W 6Th St Ste 105 , Corona CA 92882-3196. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Hanna, Suzan can be contacted via phone (951) 278-8910.Contact Information
Primary practice address
1303 W 6Th St Ste 105
Corona CA 92882-3196
Phone: (951) 278-8910
Fax: (951) 278-9895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A55301 | California |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | A55301 | California |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | A55301 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A53301 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A55301A | California |
Profile Details
| NPI number | 1619195625 |
|---|---|
| LBN Legal business name | Hanna, Suzan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619195625 | NPPES |
| California | MEDICAID | 00A553010 |
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